Faculty of Medicine, Dentistry, and Health Sciences, University of Melbourne, Melbourne, Australia.
Heart Lung Circ. 2013 Jan;22(1):56-70. doi: 10.1016/j.hlc.2012.08.008. Epub 2012 Sep 25.
Pulmonary artery stenosis is a challenging problem in the management of congenital heart disease. Untreated pulmonary artery stenosis may contribute to increased mortality and morbidity, and lead to suboptimal results following surgical repair of congenital heart disease. Intravascular stent implantation has emerged as one of the preferred treatment options for pulmonary artery stenosis. However, issues regarding the effectiveness and complications of stent implantation for pulmonary artery stenosis need to be identified. In addition, difficulties of stent implantation in the paediatric setting, as a consequence of small vessel size and subsequent vessel growth, are also important considerations. This review will evaluate the short and long-term effectiveness, the outcomes and complications, and discuss the potential problems of stent implantation for pulmonary artery stenosis.
肺动脉瓣狭窄是先天性心脏病管理中的一个难题。未经治疗的肺动脉瓣狭窄可能导致死亡率和发病率增加,并导致先天性心脏病手术后结果不理想。血管内支架植入术已成为肺动脉瓣狭窄的首选治疗方法之一。然而,需要确定支架植入术治疗肺动脉瓣狭窄的有效性和并发症问题。此外,由于血管尺寸较小和随后的血管生长,儿科环境中支架植入的困难也是重要的考虑因素。本综述将评估支架植入术治疗肺动脉瓣狭窄的短期和长期效果、结果和并发症,并讨论支架植入术治疗肺动脉瓣狭窄的潜在问题。